Jackson Urological Associates, P.C.
NPI 1770566986ActiveOrganization· Urology· Jackson, TN
Urology in Jackson, Tennessee, registered in NPPES in November 2005. The authorized official on file is Whitney Tucker, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1770566986 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 22, 2005 |
| Last updated in NPPES | Mar 25, 2026 |
| Certified by provider | Mar 25, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TN) |
|---|
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